Park, Joseph Rae
Park, Joseph Rae is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Benning GA 31905-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Park, Joseph Rae can be contacted via phone (762) 408-2604.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Benning GA 31905-2102
Phone: (762) 408-2604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 23235 | Nebraska |
Profile Details
| NPI number | 1215971494 |
|---|---|
| LBN Legal business name | Park, Joseph Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jun 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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